Clover Podiatry Pllc
NPI #1912525288 in Camas, Washington
Provider Information
- NPI Number
- 1912525288
- Entity Type
- Organization
- Organization Name
- Clover Podiatry Pllc
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jul 13, 2020
- Last Updated
- Jan 22, 2021
Practice Location
- Address
- 405 NE 6TH AVE
- City
- Camas
- State
- Washington
- ZIP Code
- 98607-2037
- Phone
- (360) 450-6644
Authorized Official
- Name
- TEK MANNING FISH, DPM
- Title
- SURGEON/OWNER
- Phone
- (360) 450-6644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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